Claim total
$1,374.56
base $93.39 · payer covered $1,339.56
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2013-05-03
- Stop
- 2013-05-03
The parties
- Patient
- patient Nena Josephine Stehr
- Provider
- provider Martina Heidenreich
- Care site
- care site ALTRU HEALTH SYSTEM
- Payer
- payer Dual Eligible
Record id
00eec58c-8547-4a29-83cb-2566c35682aa